Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $82.50 / $110.00	Facility		$65.00	$82.50	$110.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.95 / $91.45 / $142.58	Professional		$68.95	$91.45	$142.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $57.65 / $77.63 / $119.78	Professional		$57.65	$77.63	$119.78
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $85.00 / $85.00 / $85.00	Professional	25	$85.00	$85.00	$85.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.00 / $117.00 / $156.66	Facility		$117.00	$117.00	$156.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.00 / $87.44 / $139.38	Professional		$66.00	$87.44	$139.38
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $73.75 / $93.16	Professional		$60.00	$73.75	$93.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $73.49 / $108.65 / $150.51	Professional		$73.49	$108.65	$150.51
United Facility/Professional Professional Modifier Low / Median / High Price $68.63 / $95.00 / $155.58	Professional		$68.63	$95.00	$155.58
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $71.75 / $82.21 / $88.90	Professional		$71.75	$82.21	$88.90